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CRCR EXAM MULTIPLE CHOICE, CRCR Exam Prep, Certified Revenue Cycle Representative - CRCR exam question and answer latest update $14.99   Add to cart

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CRCR EXAM MULTIPLE CHOICE, CRCR Exam Prep, Certified Revenue Cycle Representative - CRCR exam question and answer latest update

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CRCR EXAM MULTIPLE CHOICE, CRCR Exam Prep, Certified Revenue Cycle Representative - CRCR exam question and answer latest update

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  • February 9, 2024
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  • 2023/2024
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CRCR EXAM MULTIPLE CHOICE, CRCR
Exam Prep, Certified Revenue Cycle
Representative - CRCR (2021)
What are collection agency fees based on? - correct answer A percentage of dollars collected



Self-funded benefit plans may choose to coordinate benefits using the gender rule or what other rule? -
correct answer Birthday



In what type of payment methodology is a lump sum or bundled payment negotiated between the payer
and some or all providers? - correct answer Case rates



What customer service improvements might improve the patient accounts department? - correct answer
Holding staff accountable for customer service during performance reviews



What is an ABN (Advance Beneficiary Notice of Non-coverage) required to do? - correct answer Inform a
Medicare beneficiary that Medicare may not pay for the order or service



What type of account adjustment results from the patient's unwillingness to pay for a self-pay balance? -
correct answer Bad debt adjustment



What is the initial hospice benefit? - correct answer Two 90-day periods and an unlimited number of
subsequent periods



When does a hospital add ambulance charges to the Medicare inpatient claim? - correct answer If the
patient requires ambulance transportation to a skilled nursing facility



How should a provider resolve a late-charge credit posted after an account is billed? - correct answer
Post a late-charge adjustment to the account

,an increase in the dollars aged greater than 90 days from date of service indicate what about accounts -
correct answer They are not being processed in a timely manner



What is an advantage of a preregistration program? - correct answer It reduces processing times at the
time of service



What are the two statutory exclusions from hospice coverage? - correct answer Medically unnecessary
services and custodial care



What core financial activities are resolved within patient access? - correct answer Scheduling, insurance
verification, discharge processing, and payment of point-of-service receipts



What statement applies to the scheduled outpatient? - correct answer The services do not involve an
overnight stay



How is a mis-posted contractual allowance resolved? - correct answer Comparing the contract
reimbursement rates with the contract on the admittance advice to identify the correct amount



What type of patient status is used to evaluate the patient's need for inpatient care? - correct answer
Observation



Coverage rules for Medicare beneficiaries receiving skilled nursing care require that the beneficiary has
received what? - correct answer Medically necessary inpatient hospital services for at least 3 consecutive
days before the skilled nursing care admission



When is the word "SAME" entered on the CMS 1500 billing form in Field 0$? - correct answer When the
patient is the insured



What are non-emergency patients who come for service without prior notification to the provider
called? - correct answer Unscheduled patients



If the insurance verification response reports that a subscriber has a single policy, what is the status of
the subscriber's spouse? - correct answer Neither enrolled not entitled to benefits

,Regulation Z of the Consumer Credit Protection Act, also known as the Truth in Lending Act, establishes
what? - correct answer Disclosure rules for consumer credit sales and consumer loans



What is a principal diagnosis? - correct answer Primary reason for the patient's admission



Collecting patient liability dollars after service leads to what? - correct answer Lower accounts receivable
levels



What is the daily out-of-pocket amount for each lifetime reserve day used? - correct answer 50% of the
current deductible amount



What service provided to a Medicare beneficiary in a rural health clinic (RHC) is not billable as an RHC
services? - correct answer Inpatient care



What code indicates the disposition of the patient at the conclusion of service? - correct answer Patient
discharge status code



What are hospitals required to do for Medicare credit balance accounts? - correct answer They result in
lost reimbursement and additional cost to collect



When an undue delay of payment results from a dispute between the patient and the third party payer,
who is responsible for payment? - correct answer Patient



Medicare guidelines require that when a test is ordered for a LCD or NCD exists, the information
provided on the order must include: - correct answer A valid CPT or HCPCS code



With advances in internet security and encryption, revenue-cycle processes are expanding to allow
patients to do what? - correct answer Access their information and perform functions on-line



What date is required on all CMS 1500 claim forms? - correct answer onset date of current illness

, What does scheduling allow provider staff to do - correct answer Review appropriateness of the service
request



What code is used to report the provider's most common semiprivate room rate? - correct answer
Condition code



Regulations and requirements for coding accountable care organizations, which allows providers to begin
creating these organizations, were finalized in: - correct answer 2012



What is a primary responsibility of the Recover Audit Contractor? - correct answer To correctly identify
proper payments for Medicare Part A & B claims



How must providers handle credit balances? - correct answer Comply with state statutes concerning
reporting credit balance



Insurance verification results in what? - correct answer The accurate identification of the patient's
eligibility and benefits



What form is used to bill Medicare for rural health clinics? - correct answer CMS 1500



What activities are completed when a scheduled pre-registered patient arrives for service? - correct
answer Registering the patient and directing the patient to the service area



In addition to being supported by information found in the patient's chart, a CMS 1500 claim must be
coded using what? - correct answer HCPCS (Healthcare Common Procedure Coding system)



What results from a denied claim? - correct answer The provider incurs rework and appeal costs



Why does the financial counselor need pricing for services? - correct answer To calculate the patient's
financial responsibility

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